title: Laparoscopic permanent sigmoid stoma creation through the extraperitoneal route.
abstract: About 50% of patients who have a permanent stoma experience some degree of parastomal hernia formation. To prevent this complication, the extraperitoneal route is considered to be more effective than the transperitoneal route in the case of open colorectal surgery. This technique also has superiority in avoiding postoperative intestinal obstruction. Although laparoscopic surgery for rectal cancer has not been proved to be as safe as open surgery by a randomized-controlled trial, some studies have shown the equality of long-term results with laparoscopic low anterior resection and laparoscopic abdominoperineal resection. It is anticipated that cases of laparoscopic abdominoperineal resection will increase in the near future. However, a laparoscopic technique for creation of a permanent stoma has hardly been discussed. Most operative procedures for laparoscopic stoma creation have been performed with transperitoneal route, which may cause parastomal hernia and/or intestinal obstruction. This report describes a laparoscopic technique for permanent sigmoid stoma creation through the extraperitoneal approach.
authors.affiliation: Department of Digestive Surgery, Kochi Health Sciences Center, Kochi, Japan. KGH03145@nifty.com
authors.forename: Madoka
authors.initials: M
authors.lastname: Hamada
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Nishioka
authors.forename: Takao
authors.initials: T
authors.lastname: Nishimura
authors.forename: Masakazu
authors.initials: M
authors.lastname: Goto
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Furukita
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Ozaki
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakamura
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Fukui
authors.forename: Toshikatsu
authors.initials: T
authors.lastname: Taniki
authors.forename: Tadashi
authors.initials: T
authors.lastname: Horimi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery; D054047:Surgical Stomas